NICOLE M WANTOCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041355756

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

WANTOCH

Business Name

NICOLE M WANTOCH

Original Issue Date

09/11/2006

Effective Date

03/23/2016

Expiration Date

05/31/2018

City

VALPARAISO

State

Zip

46383

Ever Disciplined

LastModifiedDate

07/19/2018

Case Number

2014001497

Action

Probation

Discipline Start Date

06/22/2015

Discipline End Date

06/07/2017

Discipline Reason

for diverting controlled substances.